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23 Hastings Women's L.J. [i] (2012)

handle is hein.journals/haswo23 and id is 1 raw text is: Table of Contents Winter 2012 Foreword By Aishlin P. Hicks....................................1 The M Word Symposium: An Interdisciplinary Adventure Article by Lisa Faigman .........................3 The UC Hastings Women's Law Journal 2011 Symposium, co- sponsored with the UCSF/UC Hastings Consortium on Law, Science and Health Policy, was entitled Frontiers in Women's Health: The Role of Hormones in Aging and Disease. In this Article, Professor Lisa Faigman begins with a personal account of her own experiences with the perimenopausal transition and hormone therapy, which served as the impetus for the Symposium. Professor Faigman briefly recounts the history of Menopausal Hormone Therapy (MHT) and provides a review and analysis of the medical and research literature regarding the safety and efficacy of hormone therapy to relieve the symptoms many women experience in menopause. For decades, MHT was thought to be protective against cardiovascular disease, dementia and osteoporosis, in addition to providing symptom relief. The results of the large scale Women's Health Initiative clinical trials seemed to contradict previously amassed scientific evidence, and led to an about-face in the public health recommendations regarding MHT, along with a marked decrease in its use in the U.S. It is questionable whether the data from the WHI trials are appropriately used to make recommendations regarding MHT for women near the age of menopause. The potential public health and health care cost ramifications of an increase in heart disease, dementia, and osteoporosis in women who forgo potentially protective MHT are enormous, to say nothing of diminished quality of life for many women. The essay concludes with a summary of the issues addressed at the Symposium, including the urgent need for additional research to answer the remaining critical questions about MHT. Hormone Therapy for Postmenopausal Women: A Brief History of Time Article by Cynthia A. Stuenkel, MD .............. ..........45 All women who live long enough with ovaries intact will experience the menopause transition. This nearly universal, natural physiological event transcends mere biology, however. In our culture, the menopause

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